[Double hit; a case report-A history of numerous embolic events during a COVID-19 illness]

Philipp Vyhnanek1

  • 13. Med. Abteilung für Kardiologie, Universitätsklinik St. Pölten, Dunant-Platz 1, 3100, St. Pölten, Österreich. philipp.vyhnanek@stpoelten.lknoe.at.

Insights

An 81-year-old male presented with unexplained unconsciousness and ST-elevation, initially suspected to be an intercerebral hemorrhage. However, further clinical evaluation uncovered a different, unexpected diagnosis.

Area of Science:

  • Emergency Medicine
  • Neurology
  • Cardiology

Background:

  • Unexplained unconsciousness is a critical medical emergency requiring rapid diagnosis.
  • ST-elevation on electrocardiogram (ECG) typically indicates myocardial infarction but can mimic other serious conditions.

Observation:

  • An 81-year-old male presented to the emergency room with sudden, unexplained unconsciousness.
  • Preclinical electrocardiogram (ECG) revealed ST-elevation, prompting concern for intercerebral hemorrhage.

Findings:

  • Clinical work-up excluded intercerebral hemorrhage as the cause of unconsciousness.
  • An alternative and unsuspected etiology was identified through comprehensive diagnostic evaluation.

Implications:

  • This case highlights the importance of a thorough clinical work-up in emergency medicine.
  • Recognizing uncommon presentations of ST-elevation is crucial for accurate diagnosis and timely treatment.

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